Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,855.89 / $10,900.00 / $14,552.94	Facility		$2,855.89	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,986.27 / $5,485.30 / $5,485.30	Professional		$4,986.27	$5,485.30	$5,485.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,366.55 / $3,366.55 / $3,366.55	Professional		$3,366.55	$3,366.55	$3,366.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,203.00 / $5,485.30 / $7,843.98	Facility		$1,203.00	$5,485.30	$7,843.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,351.60 / $6,106.80 / $7,890.81	Professional		$2,351.60	$6,106.80	$7,890.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,635.00 / $4,216.60 / $6,342.12	Professional		$3,635.00	$4,216.60	$6,342.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,203.00 / $5,485.30 / $7,843.98	Facility		$1,203.00	$5,485.30	$7,843.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $4,302.00 / $6,585.75	Professional		$945.63	$4,302.00	$6,585.75
United Facility/Professional Professional Modifier Low / Median / High Price $2,693.24 / $2,704.30 / $6,219.89	Professional		$2,693.24	$2,704.30	$6,219.89